He raruraru tōu pūkahukahu? Me kōrero tātou mō te HIDA Scan!

Kua pāngia koe e te mamae i te taha matau o runga o tō puku? Kua kōrerotia rānei e te tākuta he raruraru tō tō pūkahukahu? I taua wā, tera pea i tonoa koe kia whiwhi i te `tirotiro HIDA` (Hepatobiliary Immunodiacetic Acid Scan). Nō reira, tera pea ka mataku koe ina rongo koe i tēnei, engari kaua e manukanuka. I tēnei rā, ka kōrerohia e tātou tēnei `tirotiro HIDA` i roto i tētahi huarahi māmā noa iho, e mārama ai koe.

He aha te matawai HIDA?

He whakarāpopototanga noa iho, he whakamātautau motuhake te matawai HIDA e tirotiro ana i te mahi a tō pūkahukahu. I roto i tēnei, ka werohia he matū iti e kiia nei ko te radioactive tracer ki roto i tō tinana. Kātahi ka whakamahia he kāmera motuhake hei mātakitaki i tana nekehanga i roto i tō tinana. Ka mahia tēnei whakamātautau i roto i te tari rongoā karihi o te hōhipera.

Hei whakamārama ake, ka tirohia e tēnei 'matawai HIDA' te huarahi e rere ai te au mai i tō ate ki tō whekau iti. Ka kiia tēnei ara o te au ko te 'pūnaha au'.

Whakaarohia, ka hangaia e tō ate tēnei wai nakunaku e kiia nei ko te au. Ka āwhina tēnei au i a tātou ki te nakunaku i ngā ngako o te kai e kainga ana e tātou. Kātahi ka haere te au i hangaia mā roto i ngā ngongo motuhake (ngā awaawa o te au) ka rongoatia ki roto i te pūkahukahu. He pēke iti te pūkahukahu kei raro i tō ate, kei te taha matau, e tata ana ki ō rara o raro. Ina kai koe, ka whakawhāiti (ka pēhi) tēnei pūkahukahu ka tukuna te au i rongoatia ki roto mā roto i ngā awaawa ki te wāhanga tuatahi o tō whekau iti (duodenum), hei āwhina i te nakunaku i ngā ngako.

Kua mārama koe ināianei? Mēnā he iti noa te raruraru kei roto i tēnei tukanga, ka pāngia koe e ngā tohu maha. Koinei te wā ka taea ai e tēnei 'matawai HIDA' te āwhina i te kimi i te pūtake. E kiia ana hoki tēnei ko te 'cholescintigraphy' me te 'hepatobiliary scintigraphy'.

He aha ngā mate ka taea te kite mā te matawai HIDA?

Ka whakamahia e ngā tākuta tēnei 'matawai HIDA' hei kimi me te aromatawai i te whānuitanga o ēnei āhuatanga:

• Te mate pūkahukahu acute: He mate tēnei ka puta ohorere mai. Tērā pea ka pāngia koe e te mamae nui i te taha matau o runga o tō puku, me ngā tohu pēnei i te kirika. I te nuinga o te wā (tata ki te 90%) ka puta mai i ngā kōhatu o te puku e ārai ana i te awaawa au.
• Te mate pūkahukahu mau tonu: Koinei te wā ka mumura, ka pupuhi hoki tō pūkahukahu i ia wā, i ia wā. He iti ake te mamae i tērā i te wā tino kino, engari ka haere mai, ka memeha haere pea te mamae. He maha ngā wā ka puta mai tēnei i ngā kōhatu pūkahukahu e ārai ana i te awaawa pūkahukahu (awaawa pūkahukahu).
• Te ngoikore o te uaua o te puku o Oddi: Koinei te wā kāore e tuwhera tika ai te uaua o Oddi, he uaua e mahi ana hei kuaha mō te au me te wai o te repeure (ngā whākōkī). Ka puta he rerenga whakamuri o ngā wai nakunaku. Ka taea e tēnei te whakararu i te mamae nui.
• Te ngoikore o te biliary:He āhuatanga tēnei e pā ana ki ngā pēpi whānau hou. Ka ārai i te rere o te au mai i te ate o te pēpi ki te whekau iti. He tino take kino tēnei, engari he onge, o te jaundice i roto i ngā pēpi whānau hou. Ki te kore tēnei e whakatikahia mā te pokanga i roto i ngā marama tuatahi e rua ki te toru o te oranga, ka pāngia te ate.
• Te turuturu o te au: Koinei te wā e turuturu ai te au i roto i ngā awa au. Ina tupu tēnei, ka pupuhi, ka mamae, ka pangia rānei te kiko e karapoti ana. He maha ngā wā ka puta tēnei i muri i te pokanga tango i te au, i te whara, i te whakawhitinga ate rānei.

Āhea koe e hiahia ai ki tētahi matawai HIDA?

Ka tūtohu ngā tākuta kia whakamahia he matawai HIDA hei tirotiro i ngā raruraru o ngā pūtau ate, te pūnaha biliary, me te pūkahukahu. Tērā pea ka tonoa he matawai HIDA e te tākuta mēnā kei a koe ētahi o ēnei tohu:

• Te mamae nui o te puku, inā koa ki te taha matau: Tērā pea nā te mumura ohorere o te pūkahukahu (cholecystitis) tēnei. Koinei te take tino noa mō te matawai HIDA.
• Mamae, kirika rānei i muri i ētahi pokanga: Mena kua pokangahia tō puku aukume, kua pokangahia tō puku o runga, kua whakawhiti ate rānei, me whai matawai HIDA pea koe mena ka pāngia koe e te kirika me te mamae i muri mai.
• Te jaundice kino i roto i ngā pēpi whānau hou: Tērā pea ka puta mai tēnei i tētahi mate morearea e kiia nei ko te biliary atresia.

Waihoki, ki te mea he stent biliary kei roto i tō awaawa wai, ka taea e koe te tirotiro i te HIDA kia kite ai mēnā kei te pai te mahi. Ko te stent biliary he ngongo angiangi, he tuwhera ka whakanohoia ki roto i tō awaawa wai kia noho tuwhera tonu mēnā kua āraia. Mena kua whakatōngia tō ate, ka taea e koe te tirotiro i ētahi matawai HIDA kia kite ai me pēhea te mahi a tō ate i muri i te pokanga.

Ko wai ka mahi i te matawai HIDA?

Tokotoru ngā tohunga hauora e mahi ana i te matawai HIDA. Ka āwhina rātou ki te whakarite i ngā taputapu matawai, ki te whakahaere i ngā rongoā irirangi, me te whakamārama i ngā hua o te matawai. Ko rātou ēnei:

• He tākuta e tohunga ana ki te `rongoā karihi`, ki te `iraiora karihi` rānei.
• Kaihangarau karihi.
• He tohunga ahupūngao hauora.

Me pēhea te mahi a te matawai HIDA?

Ka whakamahia e te matawai HIDA (matawai waikawa ārai mate hepatobiliary) he iti noa ngā matū irahiko e kiia nei ko ngā radiopharmaceuticals, ko ngā radiotracers rānei. I te nuinga o te wā ka werohia tēnei ki roto i tō uaua.

Kātahi ka haere tēnei 'radiator' mā roto i tō ate, tō puku au, me tō whekau iti. Ka tukuna e tēnei 'radiator' tētahi momo pūngao e kiia nei ko ngā 'hihi gamma'. Ka kitea tēnei pūngao e ngā kāmera motuhake, ā, ka whakamahia e te rorohiko hei hanga pikitia mārama mō te mahi a ō whekau me ō kiko.

Me pēhea taku whakarite mō te matawai HIDA?

Mā tō rōpū hauora koe e hoatu he tohutohu motuhake mō te whakarite mō te matawai HIDA. He mea tino nui kia whai tika koe i aua tohutohu. Anei he aratohu whānui mō te whakarite:

• Mena kei te hapu koe, ki te whakaaro koe kei te hapu koe, kei te whāngai u rānei , he mea nui kia kōrero koe ki tō tākuta i mua i te whakahaere i tētahi matawai HIDA.
• Kōrerotia ki tō rōpū hauora ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā tāpiringa otaota. Tērā pea ka tono atu tō tākuta kia mutu te tango i ētahi rongoā i mua i te matawai, nā te mea ka pā ki ngā hua o te matawai.
• Ina tae mai koe mō te matawai , tangohia atu ngā whakapaipai me ngā taputapu katoa ka waiho ki te kāinga, tangohia rānei i mua i te matawai. Ka taea e ēnei te whakararuraru i te whakamātautau.
• Mena kei te wehi koe i ngā wāhi kuiti (`claustrophobia`), kōrero mai i mua i te tīmatanga o te whakamātautau. Nā te mea kia whiwhi ai koe i ngā whakaahua pai rawa atu, me pupuri te kāmera matawai kia tata ake ki tō tinana. Heoi, ehara tēnei kāmera i te rite ki te ngongo kua kati katoa, engari he tuwhera i ngā taha e rua. I te nuinga o te wā ka whakanohoia ki runga ake i tō puku, ā, kāore e hipoki i tō mata.
• Mō te matawai HIDA , me nohopuku koe mō te iti rawa e whā hāora (kaua he kai, kaua he inu engari ko te wai). Mena me nohopuku koe mō te roa atu i tērā, ka kī atu tō tākuta ki a koe.
• Tērā pea me whiwhi ngā pēpi whānau hou i tētahi maimoatanga motuhake i ngā rā e toru ki te rima i mua i te matawai. Mā ngā kaimahi o te wāhanga tamariki koe e tohutohu mō tēnei.

Me whakamoe koe i te wā o te matawai HIDA?

Kāore koe e hoatuhia he rongoā whakamoe mō te matawai HIDA. Inaa, me neke koe ki ētahi tūranga rerekē i ētahi matawai.

Heoi, ki te uaua ki a koe te noho puku i te wā o te matawai, ki te mea rānei kei te matawaihia tō pēpi, ka hoatu pea he rongoā whakamoe ki a koe, ki tō pēpi rānei hei āwhina i a rātou kia marino, kia hiamoe hoki. Heoi, e kore e tino hiamoe koe, ka noho mataara tonu koe.

Kia pēhea te roa o te matawai HIDA?

I te nuinga o te wā, ka roa pea te matawai HIDA i waenga i te kotahi ki te whā hāora . I ētahi wā, ka tonoa pea koe kia hoki mai i roto i ngā hāora 24 o te matawai tuatahi mō ētahi atu whakaahua.

He aha ngā mea hei tumanakohia i te wā o te matawai HIDA?

Tērā pea he rerekētanga iti i roto i te huarahi e mahia ai te matawai HIDA, i runga i te wāhanga o tō pūnaha biliary e tirotirohia ana. Engari i te nuinga o te wā, koinei ngā mea ka taea e koe te tumanako:

• Me tango e koe ngā kākahu e hipoki ana i tō puku. Mā te hōhipera koe e hoatu he kākahu hei kakahu māu.
• Me takoto anga tō mata ki runga i te tēpu whakamātautau.
• Ka whakaurua e te nēhi, e te tohunga hangarau rānei he catheter intravenous (IV) ki roto i te uaua i tō ringa, i tō ringaringa rānei, ka werohia te radiotracer.
• Ka whakatakotoria e te tohunga hangarau te kāmera matawai ki runga i tō puku, e tata ana ki tō tinana.
• Ina tīmata koe ki te tango pikitia, ka tangohia e te kāmera matawai he raupapa pikitia. Ka taea e te kāmera te hurihuri i a koe, te noho rānei ki te wāhi kotahi.
• I te wā e tango whakaahua ana, he mea tino nui kia noho te kāmera ki te wāhi kotahi, kaua e neke. Koinei te wā ka taea e koe te tiki pikitia kounga teitei.
• Tērā pea ka tonoa koe kia huri i ō tūranga i waenga i te tango pikitia. Mā te tohunga hangarau koe e kī atu.
• I muri i te tango whakaahua, ka hoatu pea e te tohunga hangarau he rongoā hei whakawātea i tō pūkahukahu. Tērā pea ka mamae pakupaku tō puku o runga. I te wā e whakawātea ana tō pūkahukahu, ka tangohia e rātou ētahi atu whakaahua.
• Kia oti ngā whakaahua katoa e tika ana te tango (tērā pea ka roa pea tēnei mō te whā hāora), kua oti te matawai.

He mamae te matawai HIDA?

Kāore te matawai HIDA i te tino mamae. Ina tukuna te radiotracer mā te IV, tera pea ka rongo koe i te ngau kino ina werohia te ngira ki roto i te uaua, koinā anake.

Heoi, ki te mea kei te whai koe i tētahi matawai HIDA mō tētahi mate hauora, tera pea ka pāngia koe e te mamae nā taua mate. Hei tauira, ko ngā mate pēnei i te cholecystitis me te sphincter of Oddi ka pāngia e te mamae nui. Kaua hoki e tango i ētahi rongoā whakamamae mamae i mua i te matawai, nā te mea ka pāngia e ēnei rongoā te mahi a tō pūnaha biliary me te tika o te whakamātautau.

Hei tauira, me mutu te tango i ngā opiates (pērā i te morphine me te codeine) i te iti rawa i te ono hāora i mua i te matawai HIDA.

He aha ngā mea ka tupu i muri i te matawai HIDA?

I runga i te take i mahia ai te matawai HIDA ki a koe, tera pea ka taea e koe te hoki ki te kāinga, me hoki pea rānei koe ki te wāhanga hōhipera.

Me inu nui koe i te wai mō ngā haora 24 e whai ake nei i muri i te matawai. Mā tēnei ka āwhina i te 'radiotracer' kia tere te wehe atu i tō tinana. I te nuinga o te wā, ka tukuna te 'radiotracer' i tō tinana i roto i te rā kotahi, mā te mimi, mā te paru rānei.

Horoia rawatia te wharepaku i muri i te whakamahinga, ā, horoia rawatia ō ringaringa ki te hopi. He iti noa te nui o te irahiko i roto i te tohu, nō reira kāore he mōrearea ki ētahi atu i tō taha i muri i te matawai.

Mena he whaea whāngai u koe, me karo koe i te kume i te waiū u mō ngā haora 24 i muri i te matawai. Nā te mea ka taea e te radiotracer te tāpiri i te radioactivity ki tō waiū u, ka kino pea ki tō pēpi. Nō reira, he pai ake te kume i ētahi atu waiū u i mua i te matawai me te pupuri kia haumaru, ki te kimi rānei i tētahi atu huarahi hei whāngai i tō pēpi mō te rā i muri i te matawai.

He aha ngā mōrearea me ngā pānga taha o te matawai HIDA?

He tino iti ngā mōrearea o te matawai HIDA. Koia ēnei:

• Tērā pea he paku maru te wāhi i werohia ai te irahiko.
• He iti noa te pānga o te irahiko. Ko te nui o te irahiko ka pā ki a koe i te wā o te matawai HIDA noa he rite tonu ki te pānga o te taiao ki te tangata toharite i roto i te tau.
• Tērā pea ka pāngia koe e te mate pāwera ki ngā irahiko i whakamahia i roto i te matawai. Heoi, he tino onge tēnei.

He mea tino nui kia kōrero ki tō tākuta mēnā kei te hapu koe, kei te whakaaro koe kei te hapu koe, kei te whāngai u rānei. I te nuinga o te wā, kāore ngā whakamātautau rongoā karihi, pērā i te matawai HIDA, e mahia ana ki ngā wāhine hapu nā te mea ka pā kino ki te pēpi kāore anō kia whānau.

Mā te whakaahua rongoā karihi, tae atu ki te matawai HIDA, ka whakaratohia he mōhiohio ahurei e kore e taea e ētahi atu whakamātautau, pērā i te ultrasound. Nō reira, ki te kore koe e hapu, he nui ake ngā painga o te matawai HIDA i ngā mōrearea iti.

Kia pēhea te roa ka mōhiotia ai ngā hua o te matawai HIDA?

Ka tirohia e te tohunga hihi-X ngā whakaahua mai i te matawai HIDA, ka tuhia he pūrongo, ā, ka kōrerotia ngā hua ki tō tākuta. Kātahi ka kōrerotia ngā hua e tō tākuta ki a koe. I te nuinga o te wā, kāore e neke atu i te 24 hāora te roa o tēnei.

He aha ngā hua o te matawai HIDA?

Tērā pea ka rerekē ngā mōhiohio i roto i tō pūrongo hua matawai HIDA i runga i te take i matawai ai koe. I te nuinga o te wā, ka whakamāramahia e te pūrongo te nekehanga o te radiotracer i roto i tō pūnaha biliary.

Mā ngā tākuta e whakatau te tautuhi whakamutunga mā te whakakotahi i ngā hua o te matawai HIDA me ētahi atu whakamātautau, pērā i ngā whakamātautau toto.

Ko ngā hua o te matawai HIDA ko:

• Noa: Kua tukuna te irahiko mai i tō ate ki tō pūkahukahu me tō whekau iti, kāore he ārai.
• Te puhoi o te nekehanga o te radiotracer: Tērā pea he aukati kei roto i tō awaawa au, kāore rānei tō ate e mahi tika ana.
• Kāore he irahiko i kitea i roto i te pūkahukahu: Tērā pea he cholecystitis acute tōu, he aukati i te awa o te pūkahukahu.
• Te iti rawa o te wāhanga whakaputa o te pūkahukahu: Ka whakatauhia tēnei e te nui o te au ka taea e tō pūkahukahu te whakaputa (te wāhanga whakaputa) i muri i te whakaohooho ki te rongoā. He mea noa te 30% ki te 35% o te wāhanga whakaputa o te pūkahukahu. Mena he iti rawa tēnei tau, tera pea he tohu o te cholecystitis mau tonu.
• I kitea te irahiko i ētahi atu wāhi:Mena ka whakaatuhia e te matawai kei waho te radiotracer i tō pūnaha biliary, he tohu pea tēnei kei te turuturu te biliary.

Kia maumahara, ahakoa he aha ngā hua o tō whakamātautau, mā tō tākuta e whakamārama ki a koe, nō reira kaua e wehi ki te pātai atu.

Hei whakamutunga, he aha te mea hei mōhio

He whakamātautau nui te 'matawai HIDA' (Hepatobiliary Immunodiacetic Acid Scan) hei kimi i ētahi raruraru i roto i tō ate, i ngā awaawa waikura, me te pūhā. Tērā pea he taumaha rawa te mahi i tēnei momo whakamātautau. Engari kia mōhio koe, he whakamātautau kore mamae te 'matawai HIDA'. Ka taea e koe te pātai ki tō tākuta mō ō pātai, ō āwangawanga rānei. Kaua e manukanuka, kei konei ngā tākuta hei āwhina i a koe.

` Matawai HIDA, pūkahukahu, ate, au, rauemi irahiko, tātaritanga, mamae puku